Invoice: 2393
Voucher Codes:
Q1KL
HC9F
EVQ8
0PB4
7LSZ
ZF4M
Q1KL
HC9F
EVQ8
0PB4
7LSZ
ZF4M
Invoice: 2393
Invoice Date: November 30, 2024
Service Dates: 11/1/2024 – 11/30/2024
TO:
Wyoming Department of Health
Communicable Disease Unit
122 West 25th Street, 3rd Floor West
Cheyenne, Wy, 82002
Phone (307) 777-3562 | Fax 307-777-8547
FROM:
Sweetwater County Public Health
333 BroadwaySuite 110
Rock Springs, Wyoming 82901
Total Vouchers: 6
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 5 | Rectal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 4 | Syphilis blood draw | $0.00 | $0.00 |
| 3 | Urine specimen – Chlamydia and Gonorrhea | $14.00 | $42.00 |
| 5 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $70.00 |
| 4 | Rapid HIV test provided by CDU | $15.00 | $60.00 |
| 3 | Rapid Hepatitis C test provided by CDU | $0.00 | $0.00 |
| Invoice Total | $270.00 | ||